Brenda Luisa Brathwaite, CMN
Registered Nurse in Ny, NY. Individual provider (NPI-1).
NPI number1427100577
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1427100577
- Entity type
- Individual (NPI-1)
- Name
- Ms. Brenda Luisa Brathwaite
- Credential
- CMN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 17, 2007
- Last updated
- Sep 11, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B No · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 388500 1 | NY | |
| 176B00000X | Midwife | 000502 | NY |
Practice location
1111 Amsterdam Ave Clark 2Ny, NY 10025
Phone 212-523-5587 · Fax 212-523-1723
Mailing address
620 E 20th St Apt 3aNy, NY 10009
Phone 212-995-2477
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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